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Related Experiment Videos

[Varicocele and distal reflux].

H Breun, E Jecht, K M Schrott

    Der Urologe. Ausg. A
    |November 1, 1982
    PubMed
    Summary

    Distal venous reflux in the spermatic cord, identified via Doppler sonography, can impact seminal quality. Ligation of dilated external spermatic and deferential veins may improve outcomes for varicocele treatment.

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    [Urethral duplication in a male child. Accessory urethra with a normotopic opening in a penopubic epispadias with dorsal penis deviation].

    Der Urologe. Ausg. A·2006

    Area of Science:

    • Andrology
    • Vascular Surgery
    • Diagnostic Imaging

    Context:

    • Distal venous reflux presents anatomical and technical challenges in varicocele treatment.
    • Previous studies have infrequently addressed distal venous reflux impacting seminal quality.

    Purpose:

    • To investigate the role of distal venous reflux in reduced seminal quality.
    • To describe diagnostic findings and surgical interventions for distal venous reflux.
    • To evaluate the impact of treating distal venous reflux on varicocele surgery outcomes.

    Summary:

    • Doppler sonography revealed venous reflux in the left spermatic cord in four patients with reduced seminal quality.
    • Retrograde phlebography showed competent venous valves, contradicting initial findings.
    • Inguino-scrotal exploration identified dilated external spermatic and/or deferential veins, which were ligated and divided.
    • This intervention appears to partially reduce the failure rate of suprainguinal varicocele repair.

    Impact:

    • Highlights the importance of identifying and treating distal venous reflux for improved varicocele treatment success.
    • Suggests a potential refinement in surgical strategy for varicocele, particularly when suprainguinal approaches fail.
    • Emphasizes the need for further research to establish clear correlations between diagnostic methods and surgical approach selection.

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